Introduction. Page 1. Please direct any questions or comments to the SCIN Coordinator at

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Introduction The Southern African Regional University Association (SARUA) in 2010 initiated a major Programme for Climate Chance Capacity Development (PCCCD) and in 2014 published the results of a first phase mapping study of regional priorities and university responses to climate change (available at www.sarua.org). In 201, SARUA commenced with the establishment of up to four collaborative networks in the SADC region, of which the first is the SARUA Curriculum Innovation Network (SCIN). The SCIN has launched a first project whereby a regional consortium of universities will develop a Master s curriculum and courseware in climate change and sustainable development, to be made available to participating SADC universities to customise and incorporate in their teaching programmes. The vision of the SCIN is to establish a thriving network of scientists, academics and policy makers who share information and knowledge and who collaborate to bring innovation into university curricula. Participation in the SCIN is open to participating universities, external stakeholders (e.g. government and private sector) and individuals who wish to share in the information exchange and contribute expertise. This online form provides an opportunity for interested stakeholders to submit their details and become participants in the SCIN. Information collected will only be used to communicate with network members. Please direct any questions or comments to the SCIN Coordinator at scin@sarua.org. Page 1

SCIN categories of participation Categories of participation in the SARUA Curriculum Innovation Network (SCIN) are designed to ensure different types of stakeholders can benefit from network participation and contribute in unique ways to climate change curriculum innovation. * 1. In which category do you wish to participate in the SARUA Curriculum Innovation Network? Participating University (SADC universities, faculties, schools and centres who are interested in customising the courseware once it is developed to offer a Master s Programme in Climate Change and Sustainable Development, or in making resources available to assist the university delivery consortium.) External Stakeholder (Government, non profit or private sector stakeholders and educators who wish to participate in the SCIN through information exchange and communication on climate change in tertiary education.) Individual Contributor (Individual researchers, academics and subject matter experts with a specific interest in climate change and/or tertiary education curriculum design, who wish to contribute to and benefit from the exchange of information within the SCIN.) Please feel free to provide clarifying comments to your selection if you wish Page 2

Participating Universities Please complete the questions below as they pertain to the university you represent and that wishes to participate in the SARUA Curriculum Innovation Network. [Please note: for a university to participate, it needs the approval of at least a Dean] 2. Please provide information on the university University name Country Vice Chancellor 3. Is your university a SARUA member? YES NO Unsure If "Unsure" please provide a clarifying comment 4. Please indicate in which capacity this application is being completed. On behalf of the Vice Chancellor On behalf of a Deputy Vice Chancellor and/or other member of the VC s senior management team On behalf of a Dean of Faculty within the university On behalf of Senate / a Senate committee On behalf of a specialised Centre/ Unit / Institute within the university Other (please specify). Please provide details for the designated contact person. Contact Person Name Contact Person Title Position at the University Department / Unit / Centre / Faculty Page 3

. Please provide details for an alternate contact person. Alternate Contact Person Name Alternate Contact Person Title Position at the University Department / Unit / Centre / Faculty 7. Please indicate in which ways your university wishes to participate in the SARUA Curriculum Innovation Network. [Tick all the relevant boxes] The university is potentially interested in offering a Master s Programme in Climate Change and Sustainable Development The university has an existing programme which can benefit from the availability of additional modules to be developed as part of the SCIN The university has an existing programme which it wants to make available as input to the delivery consortium The university is interested in obtaining and customising selected modules to be developed The university has experts in climate change related disciplines among its faculty staff who can provide input into the development process The university would be interested in partnering with another university to customise the curriculum and courseware once developed The university has the internal capacity to customise the curriculum and courseware once developed The university wants to take part in train the trainer type workshops, to show academic staff how to customise and adapt the curriculum and courseware The university wants to be included in SCIN updates on progress and activities The university wants to be part of SARUA Leadership Dialogues on curriculum innovation and climate change The university is willing to make available facilities for hosting of SCIN events and workshops The university is willing to make available information systems and/or architecture for storage and sharing of SCIN data The university wishes to sponsor emerging researchers and/or lecturing staff to attend selected curriculum design and review sessions Page 4

8. Based on your answers in Q7 above, please provide the details of a course coordinator / relevant dean / contact person who would be a contact person for the SCIN. Name Title Position Department / Unit / Centre / Faculty 9. Based on your answers in Q7 above, please provide the details of a course coordinator / relevant dean / contact person who would be a contact person for the SCIN. Name Title Position Department / Unit / Centre / Faculty 10. If you answered YES that your University has an existing programme which it wants to make available as input to the delivery consortium, please provide more information on the intended use of the courseware / modules. 11. Based on your answer in Q7 above, please provide more information on the proposed contribution (e.g. facilities / technology / resources) you wish to make available to the SCIN. Page

12. Please share any additional information on your university and its research, teaching and learning strategy as it relates to climate change / climate resilient development / Master s curriculum development. Page

External Stakeholders Please complete the questions below as they pertain to the organisation you represent and that wishes to participate in the SARUA Curriculum Innovation Network. [Please note: for an organisation to participate, it needs the approval of a member of its senior management team.] 13. Please provide information on the organisation Organisation / entity name Country Chief executive 14. Please indicate in which capacity this application is being completed. On behalf of a Minister On behalf of a Permanent Secretary On behalf of the organisation's Board On behalf of a board member On behalf of a senior management member Other (please specify) 1. Please provide details for the designated contact person. Contact Person Name Contact Person Title Position in the organisation Division / Department / Unit / Centre Page 7

1. Please provide details for an alternate contact person. Alternate Contact Person Name Alternate Contact Person Title Position in the organisation Division / Department / Unit / Centre 17. Have you or your organisation participated in any previous SARUA events, workshops or leadership dialogues? YES NO Unsure If YES, please specify: 18. Please indicate in which ways your organisation wishes to participate in the SARUA Curriculum Innovation Network. [Tick all the relevant boxes] The organisation works closely with a university which is interested in offering a Master s Programme in Climate Change and Sustainable Development The organisation offers a learning programme which can benefit from the availability of additional modules and/or courseware to be developed as part of the SCIN The organisation has existing research outputs / learning materials which it wants to make available as input to the delivery consortium The organisation has experts in climate change related disciplines among its staff who can provide input into the development process The organisation wants to be included in SCIN updates on progress and communications change The organisations wants to be informed of university Leadership Dialogues on curriculum innovation and climate data The organisation is willing to make available facilities for hosting of SCIN events and workshops The organisation is willing to make available information systems and/or architecture for storage and sharing of SCIN Other (please specify) Page 8

19. Based on your answers in Q17 above, please provide the details of a programme or research coordinator who would be a contact person for the SCIN. Name Title Position Division / Department / Unit / Centre 20. If you answered YES that your organisation has an existing learning programme which it wants to make available as input to the delivery consortium, please provide more information on the intended use of the courseware / modules. 21. Based on your answer in Q17 above, please provide more information on the proposed contribution (e.g. facilities / technology / resources) you wish to make available to the SCIN. 22. Please share any additional information on your organisation and its research, capacity development and/or teaching strategy as it relates to climate change / climate resilient development / curriculum development. Page 9

Individual Contributors Please complete the questions below as they pertain to your individual profile as a person who wishes to participate in the SARUA Curriculum Innovation Network. [Please note: all responses must be in your personal capacity.] 23. Please provide details for yourself. Name Title Current organisation Current position Division / Department / Unit / Centre / Faculty Area or discipline of expertise 24. Are you employed or contracted by a SARUA member university? YES NO Unsure If YES, please specify: 2. Have you participated in any previous SARUA events, workshops or leadership dialogues? YES NO If YES, please specify: Page 10

2. Please indicate in which ways you wish to participate in the SARUA Curriculum Innovation Network. [Tick all the relevant boxes] You have worked / are working closely with a university which might be interested in offering a Master s Programme in Climate Change and Sustainable Development You have personal experience in developing Master s curricula which you wish to share with the SCIN You have personal experience in climate resilient development research / teaching and learning / community engagement which you wish to share with the SCIN You want to be included in SCIN updates on progress and communications You want to receive invitations to SCIN events and fora Other (please specify) 27. Please provide us with a short individual profile on your work experience, expertise and in particular any research, capacity development and/or teaching experience as it relates to climate change / climate resilient development / curriculum development. 28. Based on your answer in Q2 above, please provide more information on how you propose to contribute to the SCIN. Page 11

29. Do you wish to nominate any other individuals and/or organisations to become part of the SCIN? Page 12